/* global React */ // On-site landing page for The Medical Decision Roadmap lead magnet. // Lives at /resources/medical-decision-roadmap on the marketing site. const QUESTIONS = [ { n: "I", t: "Has the true underlying condition been diagnosed, or is the treatment based on faulty assumptions?" }, { n: "II", t: "In a setting of multiple specialists providing input, is anyone explicitly responsible for seeing and reconciling the whole picture?" }, { n: "III", t: "Have we rigorously re-examined the original data, such as images, pathology slides, and lab data, or are we relying on someone else’s reviews?" }, { n: "IV", t: "Has the list of options been developed by the right experts, or has it been constrained by the specialists who are easily accessible?" }, { n: "V", t: "Is this recommendation based on your specific biology and risk profile, or on population-wide guidelines?" }, { n: "VI", t: "Has the team carefully considered the long-term consequences of this decision, or just the next step?" }, { n: "VII", t: "Is anyone truly accountable for making sure the plan makes sense for you, and is executed appropriately?" }, ]; window.LandingPage = function LandingPage({ author = "Gina Siddiqui, MD", authorBio = "Founder, Carte Medical" }) { return (
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Resources / The Medical Decision Roadmap
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Field Guide · No. 01

The Medical
Decision Roadmap

Seven questions to ask before agreeing to any major medical procedure, treatment, or specialist referral.

Download PDF Read on web
28 pages · PDF, 1.4 MB · No email required.
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Carte Medical
Field Guide No. 01
The Medical
Decision
Roadmap
Seven questions to ask before agreeing to any major medical procedure.
{author} EDITION 2026.05
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Want to talk this topic over with us live?

Tell us about your situation. We’ll schedule you with one of our physicians shortly. On the call, you’ll get their read on your case and at least one concrete next step.

Speak with a physician

30 minutes. Get a next step whether you work with us or not.

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Inside
Each question is paired with a real Carte case where asking it changed the outcome.
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  1. {q.n}. {q.t}
    2. ))}
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From the guide
Excerpt · Question I
A real case

Marilyn, in her late sixties, was scheduled for gallbladder surgery. The reason her surgeon gave: a polyp had grown from 8 millimeters to 10 millimeters across three years of imaging.

The argument was framed to her as universal best practice. The surgeon was experienced and gallbladder removal relatively low risk; late stage gallbladder cancer catastrophic. The patient was reasonable. Marilyn didn’t want surgery, but the case for it had been made.

When Carte reviewed her ultrasound reports, something didn’t fit. The most recent report — the one with the 10-millimeter measurement that had triggered the surgical recommendation — also contained the phrase “stable in appearance.”

We pulled the original images and asked the radiologist to re-measure all three years side by side. Once imaging technique and plane of the mass had been taken into account, all three years showed a polyp at 10 millimeters. The polyp had not grown. It had simply been measured differently.

Continue reading on web
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Authored by
{author}

{authorBio}

Take it with you

Print it, mark it up, bring it to your next consult. The questions are written to be asked aloud.

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